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Schedule a Visit

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  •         In order to schedule a visit, please fill out and submit the following form in its entirety:

      Your Name:

      E-mail Address:

      Date of Birth:

      Social Security Number:

      Driver's License Number:

      Current Telephone Number:

      Other Telephone Number:


      Spouse's Name:

      Date of Birth:

      Social Security Number:

      Driver's License Number:


      Additional Occupants (include age and relationship):


      Current Address:

      City:

      State:

      Zip:

      Country:


      Rent/Mortgage Amount (per month):

      Name of Landlord/Mortgage Company:

      Move in date:

      Move out date:

      Landlord Phone Number:


      Prior Address:

      Move out date:

      Rent/Mortgage Amount (per month):

      Name of Landlord/Mortgage Company:

      Landlord Phone No.


      Present Employer:

      Employer Phone Number:

      Position:

      Employer Address:

      Supervisor:

      Salary USD per annum:

      Date of Hire:


      Spouse's Present Employer:

      Employer Telephone Number:

      Employer Address:

      Supervisor:

      Salary USD per annum:

      Date of Hire:


      Your Previous Employer:

      Telephone Number:

      Position:

      Date of Hire:

      Termination Date:

      Salary per annum:


      Additional Income (AFDC, state funds, alimony, child support, etc.):


      Pets: type and size:


      Nearest relative not living with you (include phone number):

      Local reference (include phone number):

      In case of emergency notify (include phone number):

      Their address:

      Relationship:


      Have you ever been evicted?

      Have you ever refused to pay rent?

      Have you ever filed Bankruptcy?

      Have you ever been convicted of a felony or any crime related to narcotics?


      Message:


      In compliance with the Fair Credit Reporting Act and Arizona Residential Landlord Tenant Act, we are informing you that, as to your character, general reputation, and mode of living is verified. The facts set forth in this application are true and complete. I as the prospective tenant, agree that a complete investigation of all on this application will not constitute invasion of privacy. I am aware of and extend the privilege to NAMN, INC to obtain credit reports, rental employment verification, criminal information, bank information, and/or character reports as necessary. NAMN, INC has my permission to release information found in the screening. I understand that any misrepresentations will be sufficient cause for denial or voiding of this application. I understand that I have a right to dispute the accuracy of information obtained in the screening, and that if denied due to credit, I can according to the Fair Credit Reporting Act, receive a copy of my credit report from the consumer reporting agency. I agree to all of the above and sign (submit) this of my own volition.

               


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